Publish in this journal
Journal Information
Vol. 68. Issue 8.
Pages 717 (August 2015)
ECG Contest
DOI: 10.1016/j.rec.2014.10.024
Full text access
ECG, August 2015
ECG de agosto de 2015
Ramón Bover Freire
Servicio de Cardiología, Hospital Clínico San Carlos, Madrid, Spain
Related content
Rev Esp Cardiol. 2015;68:80710.1016/j.rec.2014.10.025
Ramón Bover Freire
This item has received
(Daily data update)
Article information
Full Text
Download PDF
Figures (1)
Full Text

A 36-year-old male smoker had a 4-day history of intense asthenia, general malaise, slight fever and dry cough predominately at night for the past 4 days. He had experienced several presyncope episodes for which he had received antibiotic therapy with amoxicillin and bronchodilators. He finally presented to the emergency department for an episode of oppressive retrosternal chest pain, with stabbing sensation towards his back, and with intense dyspnea. He was admitted for observation to the short-stay ward. The examination revealed signs of mild heart failure and left parasternal pansystolic murmur. Hemoglobin was 10.3 mg/dL; there were no other abnormalities. We were contacted to evaluate this Holter ECG tracing (Figure).


Suggest a solution to this ECG Contest at (only Spanish). The answer will be published in the next issue (September 2015). #RetoECG.

Copyright © 2014. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?